Can either technique be done with a closed rhinoplasty?

Question:
I have a hump on my nose that I hate. In order to remove this during a nose job, do you file down the hump or break the bones? Can either technique be done with a closed rhinoplasty?

Answer:
Yes, yes and sometimes, yes. I actually prefer to use a diamond tipped drill (sort of like your dentist’s drill) under direct vision through an open approach to precisely get the bones where I want them. Once you take off the top of the pyramid so to speak, you need to precisely cut the bones with a small chisel to bring them back together.